14D0961037 CLIA NUMBER - ADDOLORATA VILLA

Laboratory Demographics

  • CLIA Code: 14D0961037
  • Facility Name: ADDOLORATA VILLA
  • Facility Address: 555 MCHENRY ROAD
    WHEELING, IL
    ZIP 60090
  • Facility Phone: 847 808-3320
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DAWN COHN
  • NPI Number: 1205874658
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 14D0961037
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ADDOLORATA VILLA
Street 555 MCHENRY ROAD
City WHEELING
State IL
ZIP 60090
Phone 847 808-3320
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DAWN COHN

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This page was last updated on: 9/29/2025